Organization
KHEPER LIFE ENRICHMENT INSTITUTE
Active
Organization
KHEPER LIFE ENRICHMENT INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERICA CHERYL BYRD MS, MFTI (DIRECTOR, THERAPIST)
(323) 750-7550
Entity
Organization
Contact information
Practice address
3406 W 75TH ST, LOS ANGELES, CA 90043-4926
(323) 750-7550
Mailing address
3406 W 75TH ST, LOS ANGELES, CA 90043-4926
(323) 750-7550
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
PSY 15637
CA
251S00000X
Community/Behavioral Health Agency
Primary
PSY 15637
CA
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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